A list of the most recent deficiencies for Senior Care Center - St Marys. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-30 | 2022-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-12 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-06-30 | 2022-08-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-08-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-01-17 | 2019-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-14 | 2019-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-04 | 2018-02-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-04 | 2018-02-19 | N |
